HomeMy WebLinkAboutBuilding Permit 15-0064 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 2.\
ADDRESS <-5—gbr
! 4-4
OWNER CONTR.
PHONE NO. PERMIT NO. )‘C' (.,5G
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ,,
COMMENTS: %-
N
ISI
WORK SATISFACTORY,PROCEED
0 CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. ���=— --'2 Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
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OF P R 44,
�� 9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /. 2 2.,/6-
j
AND UTILITY CONNECTION PERMIT
:e. 'S.E SOS
I.White File
2. Pink City PERMIT NO. /5 a
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
5M7 )1 56
LEGAL DESCRIPTION(office use only)
LOT I BLOCK t ADDITION akt PID ,960 1 50010
OWNER((Name) x 4 are f\ i -- '' aaM� (Phone) (�59 -qt-i7—Oc0
(Address) 5ool LJv4h SI SG
-70
Aga.: U,C. e, mil 3
BUILDER
lJ
(Company Name) r k-- ' kS C'h01 cP G (Phone) —7 QR,71/t,S
(Contact Name),,������Ain (Phonee)^�
(Address) �wsv Q1.u'c /`I vL I`c1 -C-1,l L fr t 1 t,11002 1 f (VVI v537 tO
TYPE OF WORK ❑New Construction ['Deck ❑Porch ['Re-Roofing ORe-Siding ❑Lower Level Finish ❑Fireplace
['Addition ['Alteration ['Utility Connection 1 _
CODE: ❑I.R.C. ❑I.B.C. IF Misc: (q)IQ� j t Vi( room f- FL.f'l or Lo Y
Type of Construction: I II III IV V AB 3114
'' ff
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 31`i�[�'ln 1.CO
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-menti ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c oke this p t fo ' st cause. urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 3N-WO I a 1-15- _
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE
This Application Becomes Your Building Permit When Approved Paid 'I•' 7,5-- iRece' No. 4t4
Date /. ai?i.IS By
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This c.ocument
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372